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Obesity rates have risen in almost every country worldwide. Researchers from Imperial CollegeLondon and McMaster University in Canada say this will cause a cardiovascular disease epidemic in middle and low income countries leading to “tens of millions of preventable deaths” unless quick and widespread action is taken. Increasing urbanisation, growth of less physically active lifestyles, and the replacement of western-style foods for more traditional diets are major factors in the rise in obesity. The small island nation of Nauru has been proclaimed the fattest country on Earth with an average BMI of 34 to 35.